Individual
MR. DAVID E FUKUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4100 E SPRING MEADOWS CIR, FLAGSTAFF, AZ 86004-7667
(928) 699-3532
(928) 527-9414
Mailing address
4100 E SPRING MEADOWS CIR, FLAGSTAFF, AZ 86004-7667
(928) 699-3532
(928) 527-9414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1043
AZ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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